Katie Thurston is giving an update on her cancer.

After announcing she was diagnosed with stage 3 breast cancer in February, the Bachelor Nation star shared there has been another setback with her diagnosis as her upcoming treatment had to be paused—after doctors found spots on her liver—which could be a sign of metastatic disease. 

“My biopsy is scheduled Friday which would have been my treatment day,” the 34-year-old wrote on her Boobie Broadcast Channel on Instagram March 24. “We now wait.”

Katie added that her doctor informed her that she believes the spots on her liver are cancerous, which would put her at a stage 4 diagnosis.

“She seemed to be leaning more on the cancer in the liver vs. optimistic,” she continued. “This would put me at stage 4. I’d love to hear from my sisters who are stage 4 in terms of quality of life, motherhood, etc.”